IRA J GOODMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022953

License Status

EXPIRED

Business

First Name

IRA J

Last Name

GOODMAN

Suffix

Business Name

IRA J GOODMAN MD

Original Issue Date

06/30/1988

Effective Date

06/30/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006